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Those in attendance defended Spears after her turbulent year during which former husband Kevin Federline was granted custody of the couple's two children, Sean Preston, two, and Jayden James, one, in January.

Hill, her comedic co-star for the night, described her as "a really great person", while Paris Hilton, who presented Spears with an award, said to her: "I love you. I miss you. And it's so good to see you."

British comedian Russell Brand hosted the show, and appeared to annoy some of the celebrities in attendance, although he did receive cheers for backing US Presidential candidate Barack Obama.

He said: "As a representative of the global community, a visitor from abroad, I don't want to come across a little bit biased, but could I please ask of you, people of America, please elect Barack Obama, please, on behalf of the world.

"Some people, I think they're called racists, say America is not ready for a black president.

"But I know America to be a forward thinking country because otherwise why would you have let that retard and cowboy fella be president for eight years.

"We were very impressed. We thought it was nice of you to let him have a go, because, in England, he wouldn't be trusted with a pair of scissors."

Brand was later forced to apologise for his mockery of promise rings, worn by the Jonas Brothers, after R&B singer Jordan Sparks called him a "slut" when she came on stage.

Brand said: "I didn't mean to take it lightly" before adding, "a little sex once and a while never hurt anybody."

British singer Leona Lewis also performed on the show, which was broadcast live across the US, and also featured Christina Aguilera in her first televised performance since giving birth to son Max in January.

Kanye West closed the show, a year after he vowed never to appear at the VMAs again because he did not win an award despite several nominations.